HomeMy WebLinkAboutPermit Building 1976-6-25
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LANE COUNTY PERMIT FOl.,
PERMIT NO,
1405-76
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CONSTRUCTION [X] MOBILE HOME [ ] ,PLAN REVIEW [ ]
C S Kingrey 665 Aspen St
'CHANGE OF OCCUPANCY [ ]
Eugene Oregon 97401
DOwner
D Contractor
NAME
National logging Inc
NAME
12496
ADDRESS CITY
83811 S. Mornin 9 Star
ADDRESS
CITY
ZIP CODE PHONE
Creswell Oregon "
ZIP CODE PHONE
O.S. Reg, '#
Twp 17 Range
F\'OntSJI81r Aatl
Subdivision'
3~ Section 34 .2. ~Tax Lot
600
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Codp
CenslJs Tract
Access to Property (Road Name):
Lot B locI<
. Pri vate
Acreage
Width
Depth
Existing Structures on Property:
Dwelling
665 Aspen Street
L;r'eSV.'e I I urngon
. Directions to Property - Address:
STRUpCTURE (# BEDBOOMS) .. . G SQ, FT,
, ermn for Elevatlon Of Roof over the en"age
E t.' t' dP 1 VALUATION ;'1 O~f\ DO
. S 1 ma e r ce $ I.ilV. .
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [ ]
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
11.00
.33
TOTAL
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CONSTRUCTION PERMITS & INSPECTIONS AND WATER POL.LUTIONCONTROL SPECIFICATIONS
. MIN, SEPTIC TANK CAPACITY:
GALS. MIN, DRAINFIELD L1N, FT. MAX. TRENCH DEPTH INCHES,
TYPE OF CONSTRUCTION g N
GROUP
T
FIRE ZONE
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS - FT, FROM CTR, OF r!W:
FRONT NA SIDE EXT,
FT, FROM PROP. LINE:
SIDE INT. REAR
ZONF
AUTHORIZED SIGNATURES:
is'; J. E. Boss by Harbuagh
6/25/76
ISSUANCE DATE:
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BLDG, PERMIT - WHITE
OFF.ICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687.4065 to schedule a:l('iequired ,construction inspections. Call 687.4061 to schedule all required
septic system inspections, All construction shall comply with the State Buidling Code, D.E.Q, standards
for subsurface sewage dis'posal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied,
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG~; AT SITE)
C55.13
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
'COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGO,r:.J.97401
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SUPPL"E~ENT NO.
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CONTRACTOR 1', ~"""~J1rK,...::VU ~j &";?~~~?..:-",,--p , ;?be'~<7
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PROPERTY ADDRESS
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(Building,~aluation)
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BUILDING PERMIT /11(4 f;@';i) " ,II';;:
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Fee Received By J~"~=/ilDatetA41?;(, []cash
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
[]amt. due
[]refund
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~UHJ>IN'G SITE'EVALUATlON, , " \..... \.' T i, ,: R' :S ' " TAX LOT
r'i<'t BLlILDING PERMIT APPLICATION ~O. /drs~ 7~' SUBDnnSION\OT: BLOCK:;
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~:'() SITE INSPECTION
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:',' PI:ANNlNG D I V I S ION . Not, ' .dl!J
f;', '-,,/ .App 1 i cat> 1 e No Yes tCK"~DvjBy~~'~~rb..~~", ~:.,
;:..1.I'Z~i?g.0~dinanc7 Compliance: Zcme 1'~'~. (f!) , ()-e.() ....6~S.e.tb.a'Clfs~f'fOm-c/l of road:,
[,;:}. S,UDd~vISlon Ordinance ComplIance , (!~~,i~J'(5It( }nr~)lI'~'1>''I-'<-'''v:1 .o!f~nt 1'2N:t N~(;t1
~;..3. Requl red Access (If) () ( ) , '?Sld'e Exterlor'lC> r I
~~4. Building Site (Area, Width, Frontage) () () ( ) Setbacks from interior/lines:
>:5. 'Other (see comments) ,( t ()() Side
~~. Rear .../ i
,'. COMMENTS: ' VI
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APPLICANT
DATE
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.... ,;;;
PLANNING DIVISrON~')rCTloN)PE'NDfNG':':YE'S:r .:> NO{:" J 'App'CicAtioNH
,'BU tLD ING I NSPECT ION D IV I S ION
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:i:c;" Plans Submitted
i<'~~ Soil Stability (footings),
"~> 9 . Flood Plain , .,
.,~ife'::' Other (see comment,s)
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~;"COMMENTS :
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Not
jApplicable . No Yes
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DATE
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i~::.WATER POLUTlON CONTROL
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Not
;App I i cab 1 e
Meets Department of 'Envi ronmental." '.' " ()
. Qual ity Standards. '
Other (see comments) 'i'.-," ( )
.;
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No Yes
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CK'D BY:
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DATE
"COMMENTS:
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TO APPL I C.ANT :
/, Your Building I Site Inspection:
\( J/Can be approved. ,
; /7/ -""(") Cannot be approved at, this time as indicated on item NO. above.
~ V k/ Ques~ions and fur~~~i~formation on/.items I through 6 contact the LANE-
, v1 1~ COUNTY PLANNING DIVISIONe Question~ and further information on items 7
t(j ;, r) through 12 contact the LANE COUNTY BUILDING AND SANITAnON DIVISION..
'., ' () Will be held in this office until you can reso'lve the problems indicated.
( ) Is being returned.
( ) Yourbuildin~LP-~rmit a'pplic.~!J..Q.!:l_fe,e is being ret':Jrn~~un.slM-"sepc!.!:,i1te c:oVt'~r.
.ul:.tlARTMENT OF ENVIRONMENTAL .MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
~' PHONE: 687-4065 ~
P . LN!E COUNTY PI,.ANN I riG D I V I S ION PHONE: 687-4186 . ~..::' /'
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LANE COUNTY PERMIT Fa.
PERMIT NO.
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CONSTRUCTION [:~ MOBILE HOME [
PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
'0 Contractor
;:",7 Zy"~ 'J g~~r~ (J
1,': (:'L';;<:~)'1(0(i'_ j7il~ri.
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ADDRESS CITY
C~T~;~ fa s ~ r:~ltlG'1~~3 :i' S~;:n~
Jf(~~G:,~ ~)6h~r']
ZIP CODE
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PHONE:
10 Owner
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It:. ,;.' ~~. _ ",v!"';d
NAME
O.S, Reg, #
NAME
t:~ilf'o()
ADDRESS CITY
ZIP CODE
PHONE
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Section
')n c, [,
~>"} .Ii" ''1" ax Lot
G3-'=~r1
Code
Census Tract
Subdivision
Lot
Block
Acreage
Width
Access to Property (Road Name):
r:'F~ vCj\.;Q
Depth
, Existing Structures on Property:
C"'2r<~ ~ {l C1: < '
'- --'. .'" " 'if'~, ~.J
Directions to Property. Address:
r~f~~~~;S-~ (J(;'~U'(::{~';s,
\::V:-::2~)j {; a
'STRUG.!.VB,i;:, (F-, ~~D,~Qg-M"~}r"~'\<' (~:"V0C: nv ii' ('''''',~(~?, FT,
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29~~'Ot~'~~~I~;(3(; P~';2,
VALUATION
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [
PLUMBING ,INSTALLED BY:
OWNER [ ] " OTHER [] NAMF
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
~':" '-.I"
Ii ~ l' \)-'.'}'
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER. SPECIFY:
TOTAL
uno ,:;_
.' .' CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC'TANK CAPACITY:
. .
GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
'I' . .
TYPE OF CONSTRUCTION e .,
GROUP
jf
"
FIRE ZONF
STAY 100' FROM ALL WELLS
USE CLASSI F.
SETBACKS. FT,.FROM CTR, OF r!W:
FRONT LY~ SIDE EXT,
FT, FROM PROP, LINE:
SIDE INT. REAR
ZONF
., \.; \
AUTHORIZED SIGN~TU.BES: \ , "
/s/ ,~o \,., i )Jm:; b.v r:Cli'~:)t~Q(;
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. 1/1 eo"';!
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ISSUANCE DATE:
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
. " \ \,
Call 687.40]35, to~schgdule air required co'nstructlon inspections, Call 687-4061 to schedule all required
septic system inspections'. All const'ruction shall comply with the State Buidling Code, D,E.O. standards
for subsurface sewage disposal and the State PI,umbing Code, All buildings require a certificate of
OCCiJp'ancY'gefor~ being occupied, '. ", \ , '" ..
" '(See'Det?ils on 'Reverse Side) , ' .. \
(POST THIS PERMIT ON MAIN SLDG:, AT SITE)
C55-13
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTH8USE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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SITE INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS ,
FRAMI NG INSPECT ION
ApPROVED
/ j( / DISAPPROVED /
;!7ptIJ.,u e. g K;,
/
DATE
gf9/~"
I NSPEC'TOR
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REMARKS
,
LATH OR SHEETROCK INSPECTION
''''0''0 h!>(/ 0"''''0''0 / / O"E.~//,6L INseECTO'~
REMARKS ,JI,i'-"""" ~&,...."...-~J(' .-~~~:;;r\'J':;'_~ ~~
FINAL INSPECTION
""0"0 )lV -; 0' ""'0"0 / / 0' TE /- '3/- ?? I NseECTO' '~~
REMARKS
CERT!FICATE OF OCCUPANCY
:::::,:0 ISSUE J;;:,::;;;;;/tc~ ~ /1L/ IN"mO'
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